SUSAN R. HARRIS CNM, FNP-C
NPI 1407912827
Nurse Practitioner - Family in Coppell, TX
Active since December 29, 2006
About Susan R. Harris Cnm, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN R. HARRIS CNM, FNP-C (NPI 1407912827) is an individual family provider in Coppell, Texas, licensed in Texas (625586) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1407912827
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN R. HARRISCredential: CNM, FNP-C
Location Address705 MAIN STREETCoppell, TX 75019-4401
Mailing Address705 Main StCoppell, TX 75019-4742 · (972) 304-6400 · Fax (972) 304-6455
Phone(972) 304-6400
Fax(972) 304-6455
Sole ProprietorNo
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 15, 2015
✔ NPI 1407912827 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 625586
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 625586 (TX)
705 MAIN STREET, Coppell, TX 75019
Other Identifiers 3
Other8Y8471TX · Blue Cross Blue Shield
Medicaid199869201TX
Medicare PIN8L3990TX
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407912827, enumerated as an "individual" on December 29, 2006.
The provider is located at 705 MAIN STREET COPPELL, TX 75019 and the phone number is (972) 304-6400.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas,. Please consult your insurance carrier or call the provider to verify.